功能性动作筛查在高原官兵军事训练伤发生中的风险评估  

Functional movement screen applied in the risk assessment of military training injuries at high altitude

作　　者：李丹丹 李乃鹏 闫双银 Li Dandan;Li Naipeng;Yan Shuangyin(Xiaopingdao Sanatorium,Dalian Rehabilitation and Recuperation Center of Joint Logistics Support Force,Dalian 116023,China)

机构地区：[1]联勤保障部队大连康复疗养中心小平岛疗养区,辽宁大连116023

出　　处：《海军医学杂志》2024年第8期784-788,共5页Journal of Navy Medicine

摘　　要：目的探讨功能性动作筛查(FMS)在高原官兵军事训练伤风险评估中的应用价值。方法回顾性分析2021年4月1日至9月30日在大连康复疗养中心疗养的高原官兵FMS数据,通过问卷调查了解官兵基本信息、身体状况及军事训练伤情况,综合高原官兵FMS情况与军事训练伤情况绘制受试者操作特征(ROC)曲线,找出相应的最佳截断点,并计算出损伤风险的比值比(OR),评估高原官兵FMS在军事训练伤中的应用价值,并将FMS结果作为参考因素运用到军事体能训练中。结果按照高原官兵FMS结果绘制的ROC曲线,其曲线下面积(AUC)为0.788(P<0.01);最大约登指数为0.518,最佳截断点对应的FMS得分是13.50分。根据FMS得分截断点进行分组,发现FMS阴性组损伤率低于阳性组,OR值为3.828。结论FMS总分与军事训练伤具有一定的关联性,高原官兵FMS结果可以应用于军事训练伤风险评估。Objective To explore the application of functional movement screen(FMS)test in the risk assessment of military training injuries at high altitude.Methods FMS test data of plateau officers and soldiers admitted to the Dalian Rehabilitation and Recuperation Center from April 1 to September 30,2021 were retrospectively analyzed.A questionnaire survey was performed to investigate the basic information,physical condition and military training injuries of the officers and soldiers.The receiver operating characteristic(ROC)curve was drawn according to the FMS results and military training injuries,the optimal cut‑off was found out,and odds ratio(OR)of injury risk was calculated.The value of FMS in the assessment of military training injuries was analyzed.Results The area under ROC curve(AUC)was 0.788(P<0.01).The maximum Jorden index was 0.518,which was the optimal cut‑off,and the corresponding FMS score was 13.50.The officers and soldiers were divided into two groups according to optimal cutoff of FMS score.The damage rate of FMS negative group was significantly lower than that in positive group(OR=3.828).Conclusion The total score of FMS is related to military training injuries.The FMS scores can be applied to risk assessment of military training injuries in plateau officers and soldiers.

关 键 词：功能性动作筛查 高原官兵 军事训练伤 风险 

分 类 号：R873[医药卫生—运动医学]